Individual
MICHELLE ANNA SHOUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
17475 H DR S, MARSHALL, MI 49068-9230
(269) 967-3049
(269) 967-3049
Mailing address
17475 H DR S, MARSHALL, MI 49068-9230
(269) 967-3049
(269) 967-3049
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704293377NSA250MV
MI
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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